ATI RN Maternal Newborn Online Practice 2019 A
1. A nurse is caring for a client who has uterine atony and is
experiencing postpartum hemorrhage. Which of the following
actions is the nurse’s priority?
Massage the client’s fundus
Uterine atony and postpartum hmorrhage indicate that this
client is at the greatest risk for hypovolemic shock. This
can compromise the client’s vital organs, which can lead to
death. Therefore, the nurse’s priority is to massage the
client’s fundus to minimize blood loss.
2. A nurse is caring for a client who is to receive oxytocin to
augment her labor. Which of the following findings
contraindicates the initiation of the oxytocin infusion and should
be reported to the provider?
Late decelerations
Late decelerations are indicative of uteroplacental
insufficiency. Therefore, this is a contraindication for the
administration of oxytocin and should be reported to the
provider.
3. A nurse is assessing a client who has severe preeclampsia. Which
of the following manifestations should the nurse expect?
Blurred vision
The nurse should identify that a client who has severe
preeclampsia can have arteriolar vasospasms and
decreased blood flow to the retina which can lead to visual
disturbances, such as blurred vision, double vision, or dark
spots in the visual field.
4. A nurse is assessing a client who is 1 day-postpartum and has a
vaginal hematoma. Which of the following manifestation should
the nurse expect?
Vaginal pressure
The nurse should expect a client who has a vaginal
hematoma to report pressure in the vagina due to the
blood that leaked into the tissues.
5. A nurse is caring for a client who is at 36 weeks of gestation and
has a positive contraction stress test. The nurse should plan to
prepare the client for which of the following diagnostic tests?
Biophysical profile
A positive contraction stress test indicates that further
evaluation of the fetus is necessary. A biophysical profile
will provide further evaluation with a real-time ultrasound.
, 6. A nurse is providing teaching for a client who has a new
prescription for combined oral contraceptives. Which of the
following findings should the nurse include as an adverse effect
of this medication?
Depression
The nurse should instruct the client that depression is a
common adverse effect of combined oral contraceptives.
Other common adverse effects of the medication include
amenorrhea, weight gain, headache, nausea,
breatkthrough bleeding, and breast tenderness.
7. A nurse is caring for a postpartum client who is receiving heparin
via a continuous IV infusion for thrombophlebitis in her left calf.
Which of the following actions should the nurse take?
Maintain the client on bed rest
The client should remain on bed rest to decrease the risk of
dislodging the clot, which could cause a pulmonary
emoblism. Elevation of the affected leg is recommended.
8. A nurse is providing teaching to a client who is at 40 weeks of
gestation and has a new prescription for misoprostol. Which of
the following instructions should the nurse include in the
teaching?
“I can administer oxytocin 4 hours after the insertion of the
medication.”
The nurse can administer oxytocin no sooner than 4 hr
after the last dose of misoprostol. Oxytocin can be
administered following misoprostol for clients who have
cervical ripening and have not begun labor.
9. A nurse is assessing four newborns. Which of the following
findings should the nurse report to the provider?
A newborn who is 18 hr old and has an axillary
temperature of 37.7 C (99.9 F).
An axillary temperature greater than 37.5 degrees (99.5
degrees F) is above the expected reference range for a
newborn and can be an indication of sepsis. Therefore, the
nurse should report this finding to the provider.
10. A nurse is caring for a client who is at 30 weeks of
gestation and has a prescription for magnesium sulfate IV to
treat preterm labor. The nurse should notify the provider of which
of the following adverse effects?
Respiratory rate 10/min
1. A nurse is caring for a client who has uterine atony and is
experiencing postpartum hemorrhage. Which of the following
actions is the nurse’s priority?
Massage the client’s fundus
Uterine atony and postpartum hmorrhage indicate that this
client is at the greatest risk for hypovolemic shock. This
can compromise the client’s vital organs, which can lead to
death. Therefore, the nurse’s priority is to massage the
client’s fundus to minimize blood loss.
2. A nurse is caring for a client who is to receive oxytocin to
augment her labor. Which of the following findings
contraindicates the initiation of the oxytocin infusion and should
be reported to the provider?
Late decelerations
Late decelerations are indicative of uteroplacental
insufficiency. Therefore, this is a contraindication for the
administration of oxytocin and should be reported to the
provider.
3. A nurse is assessing a client who has severe preeclampsia. Which
of the following manifestations should the nurse expect?
Blurred vision
The nurse should identify that a client who has severe
preeclampsia can have arteriolar vasospasms and
decreased blood flow to the retina which can lead to visual
disturbances, such as blurred vision, double vision, or dark
spots in the visual field.
4. A nurse is assessing a client who is 1 day-postpartum and has a
vaginal hematoma. Which of the following manifestation should
the nurse expect?
Vaginal pressure
The nurse should expect a client who has a vaginal
hematoma to report pressure in the vagina due to the
blood that leaked into the tissues.
5. A nurse is caring for a client who is at 36 weeks of gestation and
has a positive contraction stress test. The nurse should plan to
prepare the client for which of the following diagnostic tests?
Biophysical profile
A positive contraction stress test indicates that further
evaluation of the fetus is necessary. A biophysical profile
will provide further evaluation with a real-time ultrasound.
, 6. A nurse is providing teaching for a client who has a new
prescription for combined oral contraceptives. Which of the
following findings should the nurse include as an adverse effect
of this medication?
Depression
The nurse should instruct the client that depression is a
common adverse effect of combined oral contraceptives.
Other common adverse effects of the medication include
amenorrhea, weight gain, headache, nausea,
breatkthrough bleeding, and breast tenderness.
7. A nurse is caring for a postpartum client who is receiving heparin
via a continuous IV infusion for thrombophlebitis in her left calf.
Which of the following actions should the nurse take?
Maintain the client on bed rest
The client should remain on bed rest to decrease the risk of
dislodging the clot, which could cause a pulmonary
emoblism. Elevation of the affected leg is recommended.
8. A nurse is providing teaching to a client who is at 40 weeks of
gestation and has a new prescription for misoprostol. Which of
the following instructions should the nurse include in the
teaching?
“I can administer oxytocin 4 hours after the insertion of the
medication.”
The nurse can administer oxytocin no sooner than 4 hr
after the last dose of misoprostol. Oxytocin can be
administered following misoprostol for clients who have
cervical ripening and have not begun labor.
9. A nurse is assessing four newborns. Which of the following
findings should the nurse report to the provider?
A newborn who is 18 hr old and has an axillary
temperature of 37.7 C (99.9 F).
An axillary temperature greater than 37.5 degrees (99.5
degrees F) is above the expected reference range for a
newborn and can be an indication of sepsis. Therefore, the
nurse should report this finding to the provider.
10. A nurse is caring for a client who is at 30 weeks of
gestation and has a prescription for magnesium sulfate IV to
treat preterm labor. The nurse should notify the provider of which
of the following adverse effects?
Respiratory rate 10/min
